Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | FL |
NPI | 1003320987 |
---|---|
Provider Name | Brittany Ann Cabrera |
First Address | Astatula, FL 34705-9449 |
Second Address | Eustis, FL 32726-6258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2017 |
Last Update Date | 17/03/2018 |